Individual provider · Type 1 NPI
Marc Patrick Boulanger Ii, DNP, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · San Diego, CA
NPI number
1639063266
Active
Practice location
200 W Arbor Dr
San Diego, CA 92103-9000
Fax (888) 539-8781
Mailing address
File 57326
Los Angeles, CA 90074-0001
Other practice locations
- 6655 Alvarado Rd, San Diego, CA 92120-5208 · (800) 926-8273
- 6363 Greenwich Dr, San Diego, CA 92122-5947 · (800) 926-8273
- 3350 La Jolla Village Dr, San Diego, CA 92161-0002 · (858) 552-8585
- 350 Dickinson St Ste 325, San Diego, CA 92103-1913 · (800) 926-8273
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95035464 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1639063266
Marc Patrick Boulanger Ii, DNP, PMHNP-BC's National Provider Identifier is 1639063266, issued on Jun 6, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in San Diego, CA. The record was last updated on Jun 5, 2026.